Confidentiality in the Care of Adolescents: Technical Report

Author:

Chung Richard J.1,Lee Janet B.2,Hackell Jesse M.3,Alderman Elizabeth M.4, ,Alderman Elizabeth M.,Berlan Elise D.,Chung Richard J.,Colburn Michael,Lee Janet,Monge Maria,Shafii Taraneh,Grubb Laura K.,Wallace Stephenie B.,Amies Anne-Marie,Hua Liwei L.,Menon Seema,Rahmandar Maria H.,Vyver Ellie,Zapata Lauren,Smith Karen S.,Baumberger James, ,Hackell Jesse,Almendarez Yvette Marie,Berhane Abeba Mebrahtu,Cantrell Patricia E.,Kafer Lisa Michele,Latimer Tomitra,Warner Robin,Wiskind Robert H.,Skatrud Alisa,Kaplan Seth,English Abigail,Magnus Mackenzie,Ferguson Elisha

Affiliation:

1. aDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina

2. bLewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania

3. cDepartment of Pediatrics, New York Medical College, Valhalla, New York

4. dDivision of Adolescent Medicine, Department of Pediatrics, Albert Einstein College of Medicine and The Children’s Hospital at Montefiore, Bronx, New York

Abstract

Confidentiality is a foundational element of high-quality, accessible, and equitable health care. Despite strong grounding in federal and state laws, professional guidelines, and ethical standards, health care professionals and adolescent patients face a range of complexities and barriers to seeking and providing confidential care to adolescents across different settings and circumstances. The dynamic needs of adolescents, the oftentimes competing interests of key stakeholders, the rapidly evolving technological context of care, and variable health care billing and claims requirements are all important considerations in understanding how to optimize care to focus on and meet the needs of the adolescent patient. The following assessment of the evolving evidence base offers a view of the current state and best practices while pointing to numerous unmet needs and opportunities for improvement in the care experiences of youth as well as their health outcomes.

Publisher

American Academy of Pediatrics (AAP)

Reference155 articles.

1. Bright futures: guidelines for health supervision of infants, children, and adolescents;American Academy of Pediatrics

2. State policies in brief: an overview of minors’ consent law;Guttmacher Institute

3. Adolescent brain development and medical decision-making;Diekema;Pediatrics,2020

4. Influence of physician confidentiality assurances on adolescents’ willingness to disclose information and seek future health care. A randomized controlled trial;Ford;JAMA,1997

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